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Health maintenance organizations: serving L.A. County; ranked by number of Southern California members.


EXECUTIVE SUMMARY

THE 25 largest HMO HMO health maintenance organization.

HMO
n.
A corporation that is financed by insurance premiums and has member physicians and professional staff who provide curative and preventive medicine within certain financial,
 plans count a combined 9.6 million members in the Southern California Southern California, also colloquially known as SoCal, is the southern portion of the U.S. state of California. Centered on the cities of Los Angeles and San Diego, Southern California is home to nearly 24 million people and is the nation's second most populated region,  region, defined as Los Angeles Los Angeles (lôs ăn`jələs, lŏs, ăn`jəlēz'), city (1990 pop. 3,485,398), seat of Los Angeles co., S Calif.; inc. 1850. , Orange, Ventura Ventura (vĕnt`rə), city (1990 pop. 92,575), seat of Ventura co., SW Calif., on the Pacific coast in a farm and oil region; inc. 1866. , San Bernardino San Bernardino, city, United States
San Bernardino (săn bûr'nədē`nō), city (1990 pop. 164,164), seat of San Bernardino co., S Calif., at the foot of the San Bernardino Mts.; inc. 1854.
. Riverside Riverside.

1 City (1990 pop. 226,505), seat of Riverside co., S Calif.; inc. 1883. One of the fastest growing U.S. cities in the late 20th cent., it is famous for its orange industry.
, Imperial and San Diego San Diego (săn dēā`gō), city (1990 pop. 1,110,549), seat of San Diego co., S Calif., on San Diego Bay; inc. 1850. San Diego includes the unincorporated communities of La Jolla and Spring Valley. Coronado is across the bay.  counties. This figure is down slightly from the previous year.

Kaiser Permanente Kaiser Permanente is an integrated managed care organization, based in Oakland, California, founded in 1945 by industrialist Henry J. Kaiser and physician Sidney R. Garfield.  remained the largest provider in the region with 3.3 million members, giving it 38 percent of its membership in Southern California. The provider is unique because it also owns hospital facilities. It operates 11 hospitals and 130 medical offices in the region. L.A. County accounts for nearly half of Kaiser's Southern California membership.

L.A. Care Health Plan is the only non-commercial A non-commercial enterprise is work that values other considerations above and beyond that of making a profit. It differs from a non-profit enterprise in that seeking a profit is a part of their business, just not the main part.  plan to be included, in order to prevent double counting Double counting may refer to:
  • Double counting (proof technique), a proof technique in combinatorics whereby one set is counted in two different ways
  • Double counting (fallacy), a fallacy in combinatorics and probability theory whereby objects are counted more than once
 for government programs. The plan provides coverage for county residents and is the largest public health plan in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area. , with nearly 800,000 members. Membership in the plan is up 4 percent over the previous year.

Long Beach-based Universal Care also saw an increase in membership. The plan reported 190,000 members in filings with the California California (kăl'ĭfôr`nyə), most populous state in the United States, located in the Far West; bordered by Oregon (N), Nevada and, across the Colorado River, Arizona (E), Mexico (S), and the Pacific Ocean (W).  Department of Managed Care, up 40,000 over the previous year.

No. 3 PacifiCare/Secure Horizons reported a decline of 150,000 members in Southern California, all of which took place outside of L.A. County. The plan reported 1.2 million members in the region, of which 250,000 were located in the county.

THE PACESETTER

KAISER FOUNDATION The mission of the Kaiser Foundation is to assist individuals and communities in preventing and reducing the harm associated with problem substance use and addictive behaviours. External links
  • Kaiser Foundation
 HEALTH PLAN INC inc - /ink/ increment, i.e. increase by one. Especially used by assembly programmers, as many assembly languages have an "inc" mnemonic.

Antonym: dec.
.

KAISER Foundation Health Plan Inc. remains the largest commercial health maintenance organization in Southern California with 3.2 million members.

That's up 162,000 members, or 5 percent, from the previous year.

The enrollment increase in Southern California accounted for more than half of the Oakland-based non-profit health plan's membership increase over the past 12 months.

Kaiser has continued to implement its $4 billion KP HealthConnect HealthConnect is Australia’s planned system of electronic health records. The aim of HealthConnect is to improve quality and safety in health care by ensuring important clinical information is available in a high standard, when and where it is needed.  initiative. The program brings medical records online for all of its patients, despite criticism that the software's implementation may put some patient's safety at risk if the records can't be accessed. The organization has replaced two chief information officers over the past six months as a result.

Kaiser Permanente Baldwin Baldwin, cities, United States
Baldwin.

1 Uninc. city (1990 pop. 22,719), Nassau co., SE N.Y., on the south shore of Long Island, on Baldwin Bay; settled 1640s. A fishing center and summer resort, it has varied manufactures.
 Hills became one of two offices to fully implement the software when it did so in late 2006. Members and medical providers at the facility have access to their complete health record 24 hours a day.

Kaiser has numerous facilities undergoing major renovations or new construction as required by state law passed after the Northridge Earthquake The Northridge earthquake occurred on January 17, 1994 at 4:31 AM Pacific Standard Time in the city of Los Angeles, California. The earthquake had a "strong" moment magnitude of 6.  in 1994. Projects include the West L.A. campus, the L.A. Medical Center, Downey Downey, city (1990 pop. 91,444), Los Angeles co., S Calif., a residential and industrial suburb between Los Angeles and Long Beach; inc. 1957. Its many manufactures include metal products, rubber goods, communications equipment, and dairy products.  Hospital and Panorama City.

Opened in 1945, the health plan grew out of industrial health care programs for Kaiser steel Kaiser Steel was an American corporation, whose assets included a former steelmaking plant, located in Fontana, California, and an iron ore mine at nearby Eagle Mountain, California. It was founded by Henry J.  workers during the 1930s and '40s. Kaiser reported systemwide revenues of $34.4 billion for 2006, up $3.3 billion from 2005.
HEALTH MAINTENANCE ORGANIZATIONS

Serving L.A. Cunty; ranked by number of Southern California members

Rank    HMO (Ranking in 2006)                      Enrollment (1)
        * name                                   (current/year ago)
        * HMO                                   * So. California (2)
        * address                                  * L.A. County
                                                   * companywide

   1    Kaiser Foundation Health Plan Inc.         3,287/3,125.1
        393 E. Walnut St.                         1,531.2/1,498.8
        Pasadena 91188                            8,658.3/8,445.2
   2    Blue Cross of California                  2,000.0 (3) /NA
        21555 Oxnard St.                               NA/NA
        Woodland Hills 91367                           NA/NA
   3    PacifiCare/Secure Horizons                  1,200/1,350
        5995 Plaza Drive                              250/250
        Cypress 90630                               3,100/3,300
   4    Health Net of California                      890/812
        21281 Burbank Blvd.                           381/331
        Woodland Hills 91367                        1,600/1,600
   5    L.A. Care Health Plan (4)                     800/765
        555 W. Fifth St., 29th Floor                  800/765
        Los Angeles 90013                             800/765
   6    Blue Shield of California                    492/499.5
        6701 Center Drive West                      216.5/221.3
        Los Angeles 90045                           772.7/763.4
   7    CIGNA Healthcare of California               413/303.3
        400 N. Brand Blvd.                          170.7/302.3
        Glendale 91203                                9,300/NA
   8    Aetna Health of California Inc.             285.6/200.2
        2625 Shadelands Dr.                            NA/NA
        Walnut Creek 94598                         15,400/14,590
   9    Universal Care Inc.                       190.4/159.7 (3)
        1600 E. Hill St.                               NA/NA
        Long Beach 90755                          190.4/159.7 (3)
  10    Great-West Healthcare of Calif. Inc.          39.8/38
        655 N. Central Ave., Suite 1900               19.7/19
        Glendale 91203                                 54/59

Rank        California           Revenues               PPO
            Affiliates         (in millions)
        (current/year ago)     * companywide
           * hospitals          (2006/2005)
           * physicians        * % spent on
                               medical care

   1          30/30           $34,400/$31,100       Dual Choice
           10,587/9,211             93%
   2          NA/NA                NA/NA                NA
              NA/NA                 NA
   3         323/235             NA/14,000          PacifiCare
          47,000/31,000             85
   4         310/268           10,400/11,900      Health Net Life
          55,000/38,000            84.9            Insurance Co.
   5          85/82             1,011.3/946             N/A
           9,650/9,450              NA
   6         307/279           7,854.2/7,668      Shield Spectrum
          29,262/29,515            83.1              PPO Plan
   7         295/302               NA/NA            Connecticut
          46,693/46,654             NA             General Life
                                                   Insurance Co.
   8         310/270           25,100/22,500     Aetna Open Choice
          43,682/46,182             NA                  PPO
   9          NA/NA                NA/NA               none
              NA/NA                 NA
  10         250/250               NA/NA            Great-West
          26,000/26,000             NA            Healthcare PPO

Rank         Profile                         Structure
        * year established                 * plan model
          * headquarters                     * status
        * enrollment phone               * parent company

   1           1945                            group
             Oakland                        non-profit
          (800) 464-4000                 Kaiser Permanente
   2           1986                         contractual
          Thousand Oaks                       profit
          (800) 999-3643          WellPoint Health Networks Inc.
   3           1978                         contractual
             Cypress                          profit
          (800) 624-8822                 United Healthcare
   4           1979                         contractual
          Woodland Hills                      profit
          (800) 522-0088                  Health Net Inc.
   5           1997                            mixed
           Los Angeles                      non-profit
          (888) 452-5437                       same
   6           1990                            mixed
          San Francisco                     non-profit
          (800) 499-3899                        NA
   7           1929                         contractual
           Philadelphia                       profit
          (800) 832-3211                    Cigna Corp.
   8           1981                            mixed
         Hartford, Conn.                      profit
          (800) 323-9930                    Aetna Inc.
   9           1983                            mixed
           Signal Hill                        profit
          (800) 635-6668                        NA
  10           1994                         contractual
             Glendale                         profit
          (818) 409-0880      Great-West Life & Annuity Insurance Co.

Rank    Top Local Executive
        * name
        * Top Local Executive
        * title
        * phone

   1    Dr. Benjamin K. Chu
        president, So. Cal. region
        (800) 464-4000
   2    Brian A. Sassi
        president
        (800) 999-3643
   3    David Hansen
        ceo
        (714) 952-1121
   4    Stephen Lynch
        president, Reg. Health Plans
        (818) 676-6775
   5    Howard A. Kahn
        ceo
        (213) 694-1250
   6    Jim Elliot
        v.p., Southern California
        (415) 229-5000
   7    Christopher De Rosa
        president, gen. manager
        (818) 500-6687
   8    Curtis Terry
        reg. head, Health Care Deliv.
        (925) 948-4700
   9    Jay B. Davis
        president
        (562) 424-6200
  10    Susan Hallett
        regional president
        (818) 539-9000

NA--Not Available

Note: The information on this list was provided by representatives of
the health plans themselves and the California Department of Managed
Care. HMOs are ranked by current commercial enrollment. L.A. Care
Health Plan was the only non-commercial health plan to be included in
order to prevent double counting of enrollment in government programs.

To the best of our knowledge, this information is accurate as of press
time. While every effort is made to ensure the accuracy and
thoroughness of the list, omissions and typographical errors sometimes
occur. Please send corrections or additions on company letterhead to
the Research Department, Los Angeles Business Journal, 5700 Wilshire
Blvd., Suite 170, Los Angeles 90036. [c] 2007 Los Angeles Business
Journal. This list may not be reprinted in whole or in part without
prior written permission from the editor. Reprints are available from
Wright's Reprints, (877) 652-5295.

(1) In thousands.

(2) Southern California is defined as Los Angeles, Orange, Ventura, San
Bernardino, Riverside, Imperial and San Diego counties.

(3) Business Journal estimate.

(4) Enrollment figures for Medi-Cal, Healthy Families, California Kids,
Healthy Kids and In-Home Supportive Services.

Researched by David Nusbaum
COPYRIGHT 2007 CBJ, L.P.
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2007, Gale Group. All rights reserved. Gale Group is a Thomson Corporation Company.

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Article Details
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Title Annotation:The List
Author:Nusbaum, David
Publication:Los Angeles Business Journal
Article Type:Company rankings
Date:May 7, 2007
Words:1273
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